DR. RICHARD CHARLES JOHANNES (NPI# 1407958093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407958093 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CHARLES JOHANNES |
| Credential | D.D.S. |
| Practice Address |
10134 N Port Washington Rd Mequon WI 53092-5700 |
| Practice Telephone | 2622413500 |
| Practice Fax Number | 2622410891 |
| Mailing Telephone | 2622413500 |
| Mailing Fax Number | 2622410891 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2671 | WI | Dental Providers |
| Street Address |
10134 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023589835 | Mary Claire Stillman | Massage Therapist | 10134 N Port Washington Rd, Mequon, WI 53092-5700 | 2018-12-06 |
| 1407936396 | Melissa J Summerfield | Counselor | 10134 N Port Washington Rd, Mequon, WI 53092-5700 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193484 | Gargi Bhagavatula | Dentist | 6048 W Mequon Rd, Mequon, WI 53092-1938 | 2015-05-18 |
| 1477819068 | Mena Ghaly | Dentist | 11345 N Port Washington Rd, Mequon, WI 53092-3411 | 2012-04-08 |
| 1720292345 | Julie Anne Melbinger-wagner | Dentist | 10345 N Port Washington Rd Ste 150, Mequon, WI 53092-5746 | 2007-05-10 |
| 1912043266 | Robert Andrew Hafner | Dentist | 10562 N Port Washington Rd, Mequon, WI 53092-5537 | 2007-01-30 |
| 1093868523 | North Shore Dental Group S.c. | Dentist | 2601 W Mequon Rd, Mequon, WI 53092-3151 | 2007-01-19 |
| 1285781278 | Rachael A Vogel | Dentist | 10555 N Port Washington Rd, Ste 101, Mequon, WI 53092-5582 | 2007-01-04 |
| 1245321355 | Curtis J Jelinek | Dentist | 11415 N Bobolink Ln, Mequon, WI 53092-3006 | 2006-09-27 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1902893209 | David J. Brunner | Dentist | 10345 N Port Washington Rd, Suite 100, Mequon, WI 53092-5762 | 2005-10-02 |
| 1316947690 | Craig Lamont Smith | Dentist | 1345 W Towne Square Rd, Mequon, WI 53092-5047 | 2005-07-28 |
| Find all providers in MEQUON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.